| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $467.74 | $467.74 | $467.74 |
BCBS
| Facility | 26 | $316.23 | $363.08 | $363.08 |
Cigna
| Facility | 26 | $676.08 | $1,513.56 | $3,630.78 |
Health Partners
| Facility | 26 | $1,174.90 | $1,479.11 | $2,884.03 |